The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study

The aim of this study was to evaluate erectile function in patients with panurethral stricture after urethral reconstruction. Totally, 65 patients were enrolled. Different urethral reconstructions were performed according to the details of urethral strictures. The erectile function was evaluated bef...

Full description

Bibliographic Details
Main Authors: Hong Xie, Yue-Min Xu, Qiang Fu, Ying-Long Sa, Yong Qiao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-04-01
Series:Asian Journal of Andrology
Subjects:
Online Access:http://www.ajandrology.com/article.asp?issn=1008-682X;year=2015;volume=17;issue=2;spage=315;epage=318;aulast=Xie
id doaj-5293a63163064bc18b4ca3c0dd5cad76
record_format Article
spelling doaj-5293a63163064bc18b4ca3c0dd5cad762020-11-24T23:01:51ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622015-04-0117231531810.4103/1008-682X.143312The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive studyHong Xie Yue-Min Xu Qiang Fu Ying-Long SaYong QiaoThe aim of this study was to evaluate erectile function in patients with panurethral stricture after urethral reconstruction. Totally, 65 patients were enrolled. Different urethral reconstructions were performed according to the details of urethral strictures. The erectile function was evaluated before and after surgery. The length and location of stricture and duration from initial diagnosis to operation were recorded. The International Index of Erectile Function-5 (IIEF-5) scores, the quality of life (QoL) scores and the maximal flow rate were obtained before and 3, 6, and 12 months after surgery. A significant improvement in QoL and maximal flow rate was observed 3, 6, and 12 months after surgery compared with those observed before surgery (P < 0.05). An impairment of erectile function was observed in patients with multi-site stricture 3 months after surgery (P < 0.05). Subsequently, these patients recovered 6 and 12 months after surgery. Three months after surgery, the IIEF-5 scores in patients with anterior urethral stricture were higher than those with multi-site stricture. Similar results were observed 6 and 12 months after surgery. No significant difference in age or duration from initial diagnosis to final operation was observed between patients with erectile dysfunction after surgery and patients with normal erectile function. However, a linear regressive relationship was detected between IIEF-5 scores and location of urethral stricture. Surgical reconstruction for treating panurethral strictures has limited effects on erectile function. The location of the stricture, particularly when extended to posterior urethra, was found to be associated with erectile function after surgery.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2015;volume=17;issue=2;spage=315;epage=318;aulast=Xieerectile dysfunctionpanurethral strictureurethral reconstruction
collection DOAJ
language English
format Article
sources DOAJ
author Hong Xie
Yue-Min Xu
Qiang Fu
Ying-Long Sa
Yong Qiao
spellingShingle Hong Xie
Yue-Min Xu
Qiang Fu
Ying-Long Sa
Yong Qiao
The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study
Asian Journal of Andrology
erectile dysfunction
panurethral stricture
urethral reconstruction
author_facet Hong Xie
Yue-Min Xu
Qiang Fu
Ying-Long Sa
Yong Qiao
author_sort Hong Xie
title The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study
title_short The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study
title_full The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study
title_fullStr The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study
title_full_unstemmed The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study
title_sort relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study
publisher Wolters Kluwer Medknow Publications
series Asian Journal of Andrology
issn 1008-682X
1745-7262
publishDate 2015-04-01
description The aim of this study was to evaluate erectile function in patients with panurethral stricture after urethral reconstruction. Totally, 65 patients were enrolled. Different urethral reconstructions were performed according to the details of urethral strictures. The erectile function was evaluated before and after surgery. The length and location of stricture and duration from initial diagnosis to operation were recorded. The International Index of Erectile Function-5 (IIEF-5) scores, the quality of life (QoL) scores and the maximal flow rate were obtained before and 3, 6, and 12 months after surgery. A significant improvement in QoL and maximal flow rate was observed 3, 6, and 12 months after surgery compared with those observed before surgery (P < 0.05). An impairment of erectile function was observed in patients with multi-site stricture 3 months after surgery (P < 0.05). Subsequently, these patients recovered 6 and 12 months after surgery. Three months after surgery, the IIEF-5 scores in patients with anterior urethral stricture were higher than those with multi-site stricture. Similar results were observed 6 and 12 months after surgery. No significant difference in age or duration from initial diagnosis to final operation was observed between patients with erectile dysfunction after surgery and patients with normal erectile function. However, a linear regressive relationship was detected between IIEF-5 scores and location of urethral stricture. Surgical reconstruction for treating panurethral strictures has limited effects on erectile function. The location of the stricture, particularly when extended to posterior urethra, was found to be associated with erectile function after surgery.
topic erectile dysfunction
panurethral stricture
urethral reconstruction
url http://www.ajandrology.com/article.asp?issn=1008-682X;year=2015;volume=17;issue=2;spage=315;epage=318;aulast=Xie
work_keys_str_mv AT hongxie therelationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
AT yueminxu therelationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
AT qiangfu therelationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
AT yinglongsa therelationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
AT yongqiao therelationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
AT hongxie relationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
AT yueminxu relationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
AT qiangfu relationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
AT yinglongsa relationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
AT yongqiao relationshipbetweenerectilefunctionandcomplexpanurethralstrictureapreliminaryinvestigativeanddescriptivestudy
_version_ 1725638504164098048